Search › New York › 171100000X
In Kuk Bang, LAC
NPI 1558890418 · on the registry since 2017 · sole proprietor
Practice
- Address
- 20801 Northern Blvd Ste 301
Bayside, NY 11361 - Phone
- (718) 224-2250
- Organisation at this address
- Nyc Fly Wheels Inc.
Bayside Rehab Pt Pc
Bayside Professional Pt Pc
Hands-On Physical Therapy Of Bayside Pc
New York Medical Office Based Surgery PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 225700000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York